Agilent Technologies M4735A User manual

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User’s Guide
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About This Edition
Edition 1
Printed in the USA
Publication number M4735-91900
The information in this guide applies to
the M4735A Heartstream XL, release
A.00. This information is subject to
change without notice.
Agilent Technologies shall not be liable
for errors contained herein or for inci-
dental or consequential damages in con-
nection with the furnishing,
performance, or use of this material.
Edition History
Edition 1, September, 2000
Copyright
Copyright © 2000
Agilent Technologies, Inc.
3000 Minuteman Road
Andover, MA USA 01810-1099
[phone]
This document may not be photocopied,
reproduced, or translated to another lan-
guage without prior written consent of
Agilent Technologies.
SMART Biphasic is a registered
trademark of Agilent Technologies.
Use of supplies or accessories other
than those recommended by Agilent
Technologies may compromise product
performance.
THIS PRODUCT IS NOT INTENDED
FOR HOME USE.
IN THE U.S., FEDERAL LAW
RESTRICTS THIS DEVICE TO
SALE ON OR BY THE ORDER
OF A PHYSICIAN.
Medical Device Directive
The M4735A Heartstream XL Defibril-
lator/Monitor complies with the
requirements of the Medical Device
Directive 93/42/EEC and carries the
0123 mark accordingly.
Authorized EU-representative:
Agilent Technologies
Deutschland GmbH
Herrenbergerstr.130
D 71034 Boeblingen, Germany
Fax: [phone]
Warning
Radio frequency (RF) interference from
nearby transmitting devices may
degrade the performance of the
M4735A Heartstream XL Defibrillator/
Monitor. Electromagnetic compatibil-
ity with surrounding devices should be
assessed prior to using the defibrillator/
monitor.

v
Index
This guide uses the following conventions:
:$51,1* Warning statements describe conditions or actions that can result
in personal injury or loss of life.
&$87,21 Caution statements describe conditions or actions that can result in
damage to the equipment or loss of data.
127( Notes contain additional information on usage.
7(;7 represents messages that appear on the display
represents softkey labels that appear on the display above or
below the button to which they correspond
6RIWNH\

vi

vii
Contents
Introduction
Overview ............................................................................................................................... 1-2
Intended Use ......................................................................................................................... 1-4
Defibrillation Therapy .......................................................................................................... 1-4
Indications for AED Therapy .........................................................................................1-5
Contraindications for AED Therapy ...............................................................................1-5
Indications for Manual Defibrillation Therapy ............................................................... 1-6
Contraindications for Manual Defibrillation Therapy ....................................................1-6
Precautions for Manual Defibrillation Therapy .............................................................. 1-6
Noninvasive Pacing Therapy (Optional) .............................................................................. 1-7
Indications ....................................................................................................................... 1-7
Contraindications ............................................................................................................ 1-7
SpO2 Monitoring (Optional) ................................................................................................ 1-7
Indications ....................................................................................................................... 1-8
Contraindications ............................................................................................................ 1-8
Safety Considerations ........................................................................................................... 1-8
Documentation and Training ................................................................................................ 1-9

viii
Contents
Getting Started
Getting Acquainted ............................................................................................................... 2-2
Basic Orientation ............................................................................................................ 2-2
Manual Mode Controls ..................................................................................................2-5
Display Buttons ............................................................................................................... 2-6
Display Layout ................................................................................................................ 2-7
Connecting to Power ............................................................................................................. 2-9
Inserting the Battery ...................................................................................................... 2-10
Removing the Battery ................................................................................................... 2-11
Low Battery Warning ...................................................................................................2-12
Using a Data Card (Optional) ............................................................................................. 2-13
Inserting a Data Card .................................................................................................... 2-14
Removing a Data Card ..................................................................................................2-15
Defibrillating in AED Mode
Overview ............................................................................................................................... 3-3
Defibrillation (using the default configuration) .............................................................. 3-4
Defibrillation (with a modified configuration) ...............................................................3-5
Preparation ............................................................................................................................ 3-6
Defibrillating ......................................................................................................................... 3-7
Automatic Re-analysis On ...................................................................................... 3-13
Automatic Re-analysis Off ..................................................................................... 3-13
Pausing for CPR .................................................................................................................. 3-14
Monitoring Rhythm ............................................................................................................ 3-16
ERC Protocol ...................................................................................................................... 3-18
Troubleshooting .................................................................................................................. 3-20

ix
Contents
Monitoring the ECG
Overview ............................................................................................................................... 4-2
Connecting the ECG Patient Cable ....................................................................................... 4-3
Applying Monitoring Electrodes .......................................................................................... 4-4
Electrode Placement ....................................................................................................... 4-5
Selecting the Lead .................................................................................................................4-7
Setting the Heart Rate Alarm ................................................................................................4-9
Disabling the HR Alarm ..................................................................................................... 4-10
Adjusting the ECG Size ...................................................................................................... 4-10
Adjusting the ECG Volume ................................................................................................ 4-10
Troubleshooting .................................................................................................................. 4-11
Monitoring SpO2
Introduction ........................................................................................................................... 5-2
Understanding Pulse Oximetry ............................................................................................. 5-3
Selecting a Sensor ................................................................................................................. 5-4
Reusable Sensors ............................................................................................................ 5-5
Disposable Sensors ......................................................................................................... 5-5
Applying the Sensor .............................................................................................................. 5-6
Connecting the Sensor Cable ................................................................................................ 5-7
Monitoring ............................................................................................................................ 5-8
Setting Alarms ...................................................................................................................... 5-9
Responding to an Alarm ....................................................................................................... 5-9
Discontinuing SpO2 Monitoring ........................................................................................ 5-10
Caring for Sensors .............................................................................................................. 5-10
Troubleshooting .................................................................................................................. 5-11

x
Contents
Defibrillating in Manual Mode
Manual Mode Display .......................................................................................................... 6-2
Enabling Manual Mode ........................................................................................................ 6-2
Defibrillating in Manual Mode ............................................................................................. 6-3
Using External Paddles ...................................................................................................6-3
Using Multifunction Defib Electrode Pads .....................................................................6-5
Defibrillation Procedure ................................................................................................. 6-6
1. Select Energy ........................................................................................................6-6
2. Charge ................................................................................................................... 6-7
3. Shock .................................................................................................................... 6-8
Entering AED Mode ............................................................................................................ 6-9
Performing Synchronized Cardioversion
Using Multifunction Defib Electrode Pads ...........................................................................7-2
Using 3 or 5-wire ECG Leads ............................................................................................... 7-3
Using External Paddles .........................................................................................................7-4
Delivering a Synchronized Shock ......................................................................................... 7-5
Using External ECG Monitors ..............................................................................................7-7
Delivering Additional Synchronized Shocks ........................................................................ 7-7
Disabling Sync Mode ............................................................................................................7-7